Diagnostic Efficacy of Gingival Crevicular Blood for Assessment of Blood Glucose Levels in Dental Office: A cross Sectional Study

2014 ◽  
Vol 02 (06) ◽  
Author(s):  
Deepa Jatti Patil Dhanyashri Kamalakkannan
e-GIGI ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Olyvia Octaviany Monoarfa ◽  
Karel Pandelaki ◽  
Christy N. Mintjelungan

Abstract: Diabetes Mellitus (DM) is a metabolic disease group with the characteristic blood glucose levels than normal (hyperglycemia) that occurs because abnormalities in insulin secretion, insulin recognized when payable disorders, or combination of both. Regular blood glucose levels cause patients uncontrolled type 2 diabetes are at greater risk for experiencing problems of oral health, including gingivitis. Purpose of this research was to know the description of gingival status in patients of type 2 diabetes at RSU GMIM Pancaran Kasih Manado. This research is an observational descriptive with cross sectional study approach. The research population is all patients of type 2 diabetes outpatient clinic Interna RSU GMIM Pancaran Kasih Manado in September 2014. The research method is by using a Consecutive sampling with a sample of 100 people. The result of this research showed that the gingival status in patients of type 2 diabetes calculated based gingival index that most occur severe gingivitis was 45 respondents (45%). The gingival status that showed the severe gingivitis in patients of type 2 diabetes based on age 17 respondents (48,6%) in the age range of 51-60 years old, based on gender that most occur in women 27 respondents (49,1%), based on duration of suffering 25 respondents (55,6%) in the age range >10 years, and based on blood glucose control (HbA1c) that most numerous in patients with poor blood glucose 30 respondents (60%). Conclusion: The gingival status in patients of type 2 diabetes most occur severe gingivitis, and recommended in patients of type 2 diabetes to improve their healthy lifestyle in order to normalize blood glucose levels so as to reduce the occurrence of diabetes, more attention and maintain oral hygiene, especially the gingival health.Keywords: gingival status, patients of type 2 diabetes.Abstrak: Diabetes Melitus (DM) adalah suatu kelompok penyakit metabolik dengan karakteristik kadar glukosa darah yang melebihi normal (hiperglikemia) yang terjadi karena kelainan sekresi insulin, gangguan kerja insulin, ataupun kombinasi dari keduanya. Kadar gula darah yang tidak terkontrol menyebabkan penderita DM tipe 2 beresiko lebih tinggi mengalami masalah kesehatan mulut, termasuk gingivitis. Penelitian ini bertujuan untuk mengetahui gambaran status gingiva pada penderita Diabetes Melitus tipe 2 di Rumah Sakit Umum GMIM Pancaran Kasih Manado. Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional study. Populasi penelitian yaitu seluruh pasien DM tipe 2 rawat jalan di Poliklinik Interna Rumah Sakit Umum GMIM Pancaran Kasih Manado pada bulan September 2014. Metode penelitian yaitu Consecutive sampling dengan sampel penelitian berjumlah 100 orang. Hasil penelitian menunjukkan bahwa status gingiva yang dihitung berdasarkan indeks gingiva paling banyak menunjukkan gingivitis berat 45 subjek penelitian (45%). Status Gingiva berdasarkan umur paling banyak 17 subjek penelitian (48,6%) pada rentang umur 51–60 tahun, berdasarkan jenis kelamin paling banyak pada perempuan 27 subjek penelitian (49,1%), berdasarkan lamanya menderita paling banyak selama >10 tahun 25 subjek penelitian (55,6%), dan berdasarkan kontrol gula darah (HbA1c) paling banyak pada pasien dengan kontrol gula darah buruk (>9%) 30 subjek penelitian (60%). Simpulan: Penderita DM tipe 2 di Rumah Sakit Umum GMIM Pancaran Kasih Manado paling banyak mengalami gingivitis berat, serta disarankan bagi penderita agar lebih meningkatkan pola hidup sehat guna menormalkan kadar glukosa darah sehingga dapat mengurangi terjadinya diabetes, lebih memperhatikan dan menjaga kebersihan gigi dan mulut, terutama kesehatan gingivanya.Kata kunci: status gingiva, penderita diabetes melitus tipe 2


2021 ◽  
Author(s):  
jie zhou ◽  
Xiang cai Wei ◽  
Hong yan Xu ◽  
Hong bo Hu ◽  
Zhan zhong Ma ◽  
...  

Abstract BACKGROUND Apart from the controversy of high glycemic index and glycemic load associated with precancerous cervical lesions, few studies have examined the impact of fasting blood glucose levels on HPV multiple infections. In a population of HPV-positive women with high-grade cervical lesions, we conducted the current study to appraisal the relationship between blood glucose levels and multiple HPV infections. METHODS The present study was a cross-sectional correlative study. A total of 629 participants with a pathologically confirmed HSIL with HPV infection were included from a hospital in China between 2018-1-1 and 2019-12-31. The target independent variable and the dependent variable were glucose level at baseline and multiplicity of HPV respectively. The ratio (OR) and 95% confidence intervals (95% CIs) for the risk of multiple infections were estimated using logistic regression analysis. RESULTS The average age of 560 participants was 44.63 ± 10.61 years old, Result of fully-adjusted binary logistic regression showed glucose was negatively associated with risk of event of multiple infection after adjusting confounders (Odds ratio (OR)=0.84, 95%CI(0.57-1.22). Non-linear relationship was detected between glucose and multiplicity of HPV, with point at 5.4. After adjusting for the full range of variables, the effect sizes and confidence intervals for the left and right sides of the inflection points were 0.379 (0.196, 0.732) and 5.083 (1.592, 16.229), respectively. CONCLUSION In this cross-sectional study, both hypoglycemia and hyperglycemia predicted an increased risk of multiple infections, demonstrating a U-shaped association between blood glucose levels and HPV multiple infections.


2021 ◽  
Vol 17 (4) ◽  
pp. 157
Author(s):  
Ni Ketut Sutiari ◽  
Ali Khomsan ◽  
Hadi Riyadi ◽  
Faisal Anwar ◽  
Desak Putu Yuli Kurniati ◽  
...  

Health status and micronutrient intake among vegetarian and non-vegetarian in BaliBackground: Several studies have reported that vegetarian diets have health benefits for those adopting the diets.Objective: This study aimed to compare anemia status and micronutrient intake between vegetarians and non-vegetarians in Bali.Methods: This cross-sectional study was conducted in Bali. A total of 240 samples consisting of 160 vegetarians and 80 non-vegetarians were randomly selected. Hemoglobin (Hb) and fasting blood sugar levels were measured using the cyanmethemoglobin method and enzymatic colorimetric, respectively. Meanwhile, the data on micronutrient intakes were collected by interviews using the semi-quantitative food frequency questionnaire (SQFFQ). The data were analyzed using descriptive statistics, and the Mann-Whitney test was performed to analyze the differences.Results: The study’s results showed that the mean Hb levels in the vegetarian group were significantly lower than non-vegetarians (p=0.002; p<0.05), and the anemia status in vegetarian women were higher (22.5%) than non-vegetarian women (2.5%). The mean fasting blood glucose level in non-vegetarians was significantly higher than in the vegetarian group (p=0.000; p<0.05). There were no differences in zinc (Zn) intake between vegetarians and non-vegetarians, but there were significant differences (p<0.05) in vitamin C, vitamin D, vitamin B12, folic acid, magnesium (Mg), calcium (Ca), and iron (Fe) intakes.Conclusions: There were differences in anemia status and fasting blood glucose levels between vegetarians and non-vegetarians. The fasting blood glucose levels of non-vegetarians were higher than vegetarians, and there were differences in the intake of certain micronutrients between vegetarians and non-vegetarians.


2018 ◽  
Vol 5 (3) ◽  
pp. 1092 ◽  
Author(s):  
Rameshwar Ninama ◽  
Chakshu Chaudhry ◽  
Rameshwar Lal Suman ◽  
Suresh Goyal ◽  
Ramprakash Prakash Bairwa ◽  
...  

Background: Diarrhea is the major cause of death in children below five years of age. Hypoglycemia has been a potential fatal complication of infectious diarrhea in both well-nourished and poorly nourished children. But prevalence of hypoglycemia in diarrheal dehydration is not exactly known. This study was done to evaluate the glycemic status in children having acute diarrhea with dehydration and specifically associated with severe acute malnutrition (SAM).Methods: This descriptive cross-sectional study was conducted during July 2017 to December 2017 at Bal Chikitsalaya Udaipur, Rajasthan, India. Blood glucose levels were assessed in 150 children of acute diarrhea with dehydration, comprising of 100 SAM and 50 Non SAM children.Results: Average blood glucose of SAM children was 89 mg/dl and of non-SAM, it was 120 mg/dl. Average blood glucose was low in SAM as compared to non-SAM in both some dehydration (116.08±21.26) and severe dehydration (66.69±19.80) as well as with or without ORS intake. Overall 18 (12%) of children had hypoglycemia and all were in severe dehydration and not taking ORS. Blood glucose levels were statistically low in severe dehydration and those who were not taking ORS at the time of hospitalization (p = 0.001). In severe dehydration 25% of children had hypoglycemia means every fourth child had low blood glucose <54 mg/dl.Conclusions: Overall prevalence of hypoglycemia is 12% in diarrheal dehydration and 20% in SAM with dehydration. Twenty five percent of severe dehydration children had hypoglycemia, and all have not started ORS. None of the child started ORS developed hypoglycaemia.


Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4141
Author(s):  
Helena J. Bentil ◽  
Alyssa M. Abreu ◽  
Seth Adu-Afarwuah ◽  
Joseph S. Rossi ◽  
Alison Tovar ◽  
...  

Low magnesium intake has been shown to be associated with an increased risk of type 2 diabetes mellitus (T2DM) in several studies conducted in high-income countries. However, very few studies have been performed in Africa, where many countries have a growing rate of T2DM. We conducted a pilot cross-sectional study among 63 women in Ghana to investigate the association between magnesium intake and glycemic markers. We assessed dietary magnesium using a food frequency questionnaire and glycemic markers using fasting blood glucose and glycated hemoglobin A1c (HbA1c). Our findings showed that the mean magnesium intake was 200 ± 116 mg/day. The prevalence of T2DM was 5% by measuring fasting blood glucose and 8% by measuring HbA1c. Unadjusted linear regression models revealed that higher magnesium intake significantly predicted higher fasting blood glucose levels (β = 0.31; 95% CI: 0.07, 0.55; p = 0.01) and HbA1c levels (β = 0.26; 95% CI: 0.01, 0.51; p = 0.04). In adjusted analyses, magnesium intake was no longer significantly associated with either fasting blood glucose levels (β = 0.22; 95% CI: −0.03, 0.46; p = 0.08) or HbA1c levels (β = 0.15; 95% CI: −0.08, 0.39; p = 0.20). In conclusion, our study did not show a significant association between magnesium intake and glycemic markers in women of reproductive age in Ghana. The results of this study need to be further substantiated because this was the first study to examine magnesium intake and glycemic markers in this population in Africa.


Author(s):  
Meiriani . ◽  
Yuneldi Anwar ◽  
Puji Pinta Omas Sinurat

Background: Diabetes and higher HbA1c level have increased the incidence of stroke. Hemoglobin levels both high and low are associated with poor outcomes. Leukocytes play an important role in the initiation of the atherosclerosis process.Methods: This was a cross-sectional study with a sample size of 62 people selected by non-random sampling method on a consecutive basis, patients with acute stroke were taken blood to measure blood glucose levels, HbA1c, Hb and Leucocytes when entering the hospital room. Outcomes were assessed using NIHSS and MRS. The calculation of NIHSS and MRS scores was performed on the first day of admission and the fourteenth day. To analyze the correlation of blood sugar levels during HbA1c, Hb and leukocytes in acute stroke, this study used Spearman's correlation test. The p value <0.05 was considered statistically significant.Results: The study subjects of 62 acute stroke patients (acute ischemic stroke 31 people and 31 people hemorrhagic stroke). Acute stroke patients were consisted of 38 men (61.3%) and 24 women (38.7%). Of 31 people with hemorrhagic stroke, there were 16 men (51.6%) and 15 women (48.4%), ischemic stroke patients were consisted of 22 people (71, 0%) and women were 9 people. Spearrman repair test showed no symptoms between blood glucose levels, HbA1c, Hemoglobin and leukocytes with outcomes in acute stroke.Conclusions: There was no significant association between blood glucose levels, HbA1c, hemoglobin and leukocytes with outcomes in acute stroke.


2020 ◽  
Vol 11 (3) ◽  
pp. 47
Author(s):  
Sherida Karanini Paz De Oliveira ◽  
Amelina de Brito Belchior ◽  
Rhanna Emanuela Fontenele de Lima Carvalho ◽  
Natércia Brígido Linhares Fernandes ◽  
Rebeca Furtado Fernandes ◽  
...  

In the absence of treatment and vaccine against coronavirus, preventive measures must be adopted, especially by people with diabetes. The objective was to identify the preventive measures against the new coronavirus carried out by people with diabetes. This is a cross-sectional study carried out with 214 people with diabetes through a questionnaire provided by a Google forms link in June 2020. We used descriptive statistics and the Spearman test to compare means. Most participants were female (85.9%), young adults (84.1%), with type 1 diabetes (76.7%), and without complications (74.2%). A high average of glycated hemoglobin (7.5 ± 1.4), changes in selfcare routine (72%) and in blood glucose levels (72.8%), wearing masks (98.1%), washing hands with soap and water (96.7%), using alcohol gel (94.4%), and social distancing (85%) were observed. It is essential to reinforce care for the metabolic control of people with diabetes, in addition to optimizing strategies against the COVID-19 epidemic with a view to preventing and promoting health.


2020 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Afifah Yasyfa Dhiyanti ◽  
Laksmi Karunia Tanuwijaya ◽  
Eva Putri Arfiani

Background: Diabetes Mellitus diet regulation aims to achieve and maintain controlled blood glucose levels. The strict monitoring of patient's intake is intended to prevent complications due to hypoglycemia and hyperglycemia. Objectives: To determine the conformity of energy and macronutrients between ABC menu planned and 1700 kcal diet standard. Methods: This study was a cross sectional study with descriptive approach. Research variables were energy and macronutrients of diet manuals and menu planned for Diabetes Mellitus inpatients. The conformity was known by identifying energy and macronutrients in the ABC menu cycle and standard recipes using Nutrisurvey Software and guidelines for estimates oil absorption, then compared with the energy and macronutrients on the 1700 kcal diet standard. Results: Standard 1700 kcal diet consisted of 1700 kcal energy, 63.8 grams protein, 47.2 grams fat, and 255 grams carbohydrate. The average menu A provided 1743.5±147 kcal of energy, menu B 1710.4±137.8 kcal, and menu C 1744.6±143.5 kcal. The average menu A provided 68.2±4 grams of protein, menu B 69.3±4.2 grams, and menu C 70±4.6 grams. The average menu A contained 71.2±10.5 grams of fat, menu B 68.4±10.3 grams, and menu C 67.7±11.1 grams. The average menu A consisted 212.3±14 grams carbohydrate, menu B 210.5±14 grams, and menu C 214.6±13.8 grams. Conclusions: Compared to 1700 kcal standard diet, the discrepancies of energy are at 0.6-22%, protein 0.2-27%, fat 20-104%, and carbohydrates 7-25%. ABSTRAK Latar Belakang: Pengaturan diet pada pasien rawat inap dengan Diabetes Mellitus bertujuan untuk mencapai dan mempertahankan kadar glukosa darah normal. Ketatnya pemantauan asupan makan pasien ditujukan untuk mencegah komplikasi akibat kondisi hipoglikemia dan hiperglikemia.Tujuan: Mengetahui kesesuaian kandungan energi dan zat gizi makro rencana menu ABC dengan standar diet 1700 kkal.Metode: Penelitian ini merupakan penelitian cross sectional dengan pendekatan deskriptif. Variabel penelitian adalah kandungan energi dan zat gizi makro standar diet dan rencana menu untuk pasien Diabetes Mellitus. Ada tidaknya kesesuaian diketahui dengan cara mengidentifikasi kandungan energi dan zat gizi makro pada siklus menu ABC dan standar resep menggunakan Nutrisurvey, DKBM, dan pedoman perkiraan penyerapan minyak, kemudian dibandingkan dengan kandungan energi dan zat gizi makro pada standar diet 1700 kkal.Hasil: Standar diet 1700 kkal meliputi 1700 kkal energi, 63,8 gram protein, 47,2 gram lemak, dan 255 gram karbohidrat. Rerata energi menu A 1743,5 ± 147 kkal, menu B 1710,4 ± 137,8 kkal, dan menu C 1744,6 ± 143,5 kkal. Rerata protein menu A 68,2 ± 4 gram, menu B 69,3 ± 4,2 gram, dan menu C 70 ± 4,6 gram. Rerata lemak menu A 71,2 ± 10,5 gram, menu B 68,4 ±10,3 gram, dan menu C 67,7 ± 11,1 gram. Rerata karbohidrat menu A 212,3 ± 14 gram, menu B 210,5 ± 14 gram, dan menu C 214,6 ± 13,8 gram.Kesimpulan: Terdapat ketidaksesuaian kandungan energi 0,6-22%, protein 0,2-27%, lemak 20-104%, dan karbohidrat 7-25% pada rencana menu ABC dengan standar diet 1700 kkal.


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